Your first session will be 60-90 minutes, depending on the type of evaluation. It consists of getting as much information as possible, both through discussion and physical assessment of your body. All examination techniques depend on the patient's preference though; if there is something you don't want to do, we can modify to meet you at your comfort level. I suggest wearing something comfortable and easy to move in.
A main focus of KPT is the specialization of pelvic floor physical therapy for women and children, but anything from headaches, jaw and neck pain, back and hip pain down to plantar fasciitis can be treated at KPT!
Absolutely! If you hold a lot of tension and stress in a certain area, or have a job that places excessive strain on your body, or if you just like how a therapy session helps prevent your pain and issues from returning, you can continue with a maintenance or wellness program. Some people choose to schedule a monthly visit, whereas others choose every 2 weeks—it’s whatever you want or need it to be! Prevention is key for keeping you doing what you need, want, and love to do!
Pelvic floor therapy is a specialized type of physical therapy that targets dysfunction and pain associated with the bowel, bladder, and reproductive organs and the surrounding tissues. Many women experience issues specifically after having a baby, but pelvic floor therapy can be beneficial at any point. For adults, a variety of internal pelvic floor exam techniques are the ideal way to assess what’s truly going on with the muscles of the pelvis, but if a patient isn’t comfortable with having an internal exam, modifications can be made. For children, there is never an internal exam. The muscles can be assessed visually (with the child’s and parent’s permission) and/or with biofeedback, which can tell us if the muscles are firing and relaxing properly. And if a child isn’t comfortable with either of those options, we can modify further. The patient’s privacy and comfort are of the utmost importance!
Like for adults, pelvic floor therapy for kids is multi-faceted. We address diet and activity, toileting posture, bowel and bladder habits, the overall pressure system and strength of the core, the strength and coordination of the pelvic floor muscles, and much more. What happens during the day (in terms of bowel and bladder habits) absolutely affects what happens at night (like bedwetting). In addition to bedwetting, we can treat daytime urine and stool leakage, constipation, toilet refusal, and other toileting issues!
Anyone with a pelvis could benefit from pelvic floor therapy. However, at Koch PT, I provide pelvic floor therapy only for women and children.
If you're experiencing leakage of any sort, pelvic pain (including tailbone pain, SI joint pain, low back pain, pain with intimacy, etc.), constipation or bowel problems, pelvic pressure or pelvic organ prolapse, you could benefit from pelvic floor therapy.
If you're pregnant and have any symptoms or want to prepare for childbirth, you could benefit from pelvic floor therapy.
If you've had a baby at any point and have symptoms or want help regaining your strength and stability postpartum, you could benefit from pelvic floor therapy!
Basically, if you have any pelvic floor symptoms, you could benefit from pelvic floor therapy! ;)
KPT accepts cash, check, credit/debit card, and HSA/FSA. Being an out-of-network practice gives me, as your physical therapist, the freedom and flexibility to give you at least an HOUR of one-on-one time. This allows us to get more done each session, achieve faster results, and use fewer overall visits—meaning less time away from work or your family! I also like to be as transparent as possible: if I estimate that it’ll take 4-6 sessions, you’ll know approximately how much the total cost is in the end. There’s no co-pay now and surprise bill later. If you choose to self-submit a claim to your insurance for possible out-of-network reimbursement, I provide all of the necessary codes on your invoice.
This answer is, well, tricky. The easiest way of describing it is that there are specific rules and regulations when it comes to Medicare, and they don’t make it easy for people to work around their rules (like being out-of-network). Therefore, Koch PT does not treat Medicare patients; if you have Medicare and need help finding a great therapist, I’d be happy to help make a suggestion.
Since as of right now, Medicare does not cover dry needling, I can provide that service for Medicare patients.
Dry needling is the use of very thin needles (“dry” because nothing is being injected or drawn out) to address areas of muscular tightness and tissue restrictions often called trigger points, to decrease pain, improve blood flow and facilitate healing. Oftentimes, dry needling is a manual intervention used in conjunction with other manual techniques (like IASTM, cupping, soft tissue mobilizations, joint mobilizations, etc.) and exercises during a physical therapy plan of care. However, for people who have already completed a PT plan of care, don't want one, or have Medicare (and therefore cannot receive a PT plan of care here), a dry needling only session can be a great way to have a “tune-up” without any of the other PT interventions.